The impact of additional initial face-to-face sessions on engagement within an Improving Access to Psychological Therapies service. (December 2014)

• Record Type: Journal Article
• Authors: Mander, Helen
• Is Part Of: Cognitive behaviour therapist. Volume 7(2014)
• Publication Date: 2014-12
• Subjects: Engagement, -- face-to-face, -- IAPT, -- telephone; Cognitive therapy -- Periodicals; Behaviorism (Psychology) | -- Periodicals; 616.891425
• DOI: 10.1017/S1754470X13000007
• Languages: English
• ISSNs: 1754-470X

Abstract

Abstract: Despite substantial investment, Improving Access to Psychological Therapies (IAPT) services in some areas continue to find that demand exceeds provision, leading to waiting lists for therapy. Routine engagement in services is low, with almost half of clients disengaging with the service before or after the initial contact. An audit was carried out to evaluate the impact of introducing a face-to-face initial session within the high-intensity step of an IAPT service. The service structure and pathway of one regional IAPT service is described. A longitudinal observational design was used. All clients discharged from the service within two calendar months – before and after the introduction of an initial face-to-face session were identified. Electronic records were reviewed for each client. Introduction of an initial face-to-face session was associated with an increase in clients attending at least one therapy session and clients completing a course of therapy. Inclusion of an initial face-to-face engagement session may take up additional time, but is likely to be worthwhile in regards to associated benefits in terms of client engagement.